Provider Demographics
NPI:1235623893
Name:HOGAN MEDICAL EQUIPMENT, INC
Entity Type:Organization
Organization Name:HOGAN MEDICAL EQUIPMENT, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:HUMPHREY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:334-320-5305
Mailing Address - Street 1:6001 NW BROKEN SOUND PKWY STE 420
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33487-2766
Mailing Address - Country:US
Mailing Address - Phone:888-287-4323
Mailing Address - Fax:
Practice Address - Street 1:6001 NW BROKEN SOUND PKWY STE 420
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33487-2766
Practice Address - Country:US
Practice Address - Phone:888-287-4323
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-06-18
Last Update Date:2018-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies